| NPI | 1821512385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017006116) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209015923) |
| 363L00000X Nurse Practitioner (Licence: MO 2017006116) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209015923) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2021-08-30 |